Infantile hypertrophic pyloric stenosis is a common cause of upper gastrointestinal obstruction in infants and presents as projectile, nonbilious emesis in the first few weeks of life. In general, patients with infantile hypertrophic pyloric stenosis are diagnosed after a complete history and physical have been performed augmented by serum electrolyte evaluation, abdominal ultrasound, or upper gastrointestinal barium series. However, some patients can have equivocal radiographic testing and normal serum electrolytes. Two patients are presented in which esophagastroduodenoscopy was used to diagnose previously unsuspected infantile hypertrophic pyloric stenosis.

译文

小儿肥厚性幽门狭窄是婴儿上消化道梗阻的常见原因,在生命的最初几周表现为弹射性,非胆汁性呕吐。一般而言,婴儿的肥厚性幽门狭窄症是在完整的病史后进行诊断的,并通过血清电解质评估,腹部超声或上消化道钡剂检查增强了身体状况。但是,有些患者的影像学检查结果不明确,血清电解质水平正常。介绍了两名患者,其中食管十二指肠镜被用于诊断先前未曾怀疑的婴儿肥厚性幽门狭窄。

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